Abnormal uterine bleeding (AUB) is irregular uterine bleeding (heavy, prolonged, or frequent menstrual like bleeding)
May be acute or chronic (occurring >6 months)
The International...
Menstrual history
Onset, severity (quantified by pad/tampon use, presence and size of clots), timing of bleeding (unpredictable or episodic) over the last six month; also ...
Decreases amount of blood loss and pain compared with placebo
"Surgical" approach...
Goldstein SR, Lumsden MA. Abnormal uterine bleeding in perimenopause. Climacteric. 2017;20(5):414–420. [View Abstract on OvidMedline] ...
Dysmenorrhea; Menorrhagia (Heavy Menstrual Bleeding)
Algorithm: Abnormal Uterine Bleeding
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N93.8 Other specified abnormal uterine and vaginal bleeding
44991000119100 Abnormal uterine bleeding
AUB is irregular uterine bleeding that occurs in the absence of pregnancy or pathology, making it a diagnosis of exclusion.
Anovulation accounts for 90% of AUB.
EMB should be performed i...
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Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery crosses over the ureter and is ligated beyond this point at the uterine corpus. (<bold>B</bold>) Hypogastric artery ligation. Ligation of the anterior division of the internal iliacartery is performed after careful identification and retraction of the ureter, which usually overlies the bifurcation of the iliac artery into the external and internal iliac branches. (C) "Lynch" suture, compressing endometrial vascular bed as well as uterine arteries.
Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery cross...